Organization Active NPI

Children's Dental Health Center

Doing business as Children's Dental Health Center - Nashville

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1003272790
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7907 Issued in TN
Legal business name
CHILDREN'S DENTAL HEALTH CENTER
Doing business as
Children's Dental Health Center - Nashville
Practice address
451 Murfreesboro Pike
Building 1
Nashville, TN 37210-2842
Phone
(615) 256-7543
Fax
(615) 256-8895
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sabin Kane Ewing, DDS
Title
Owner
Phone
(615) 256-7543

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7907 TN Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9072 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 7907 TN

Addresses

Primary practice location

451 Murfreesboro Pike
Building 1
Nashville, TN 37210-2842

Mailing address

451 Murfreesboro Pike
Building 1
Nashville, TN 37210-2842
Phone (615) 256-7543

Other identifiers 1

IdentifierTypeStateIssuer
7907OtherTNDENTAL LICENSE

Other names 1

  • Children's Dental Health Center - Nashville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Dental Health Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1003272790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 MURFREESBORO PIKE",
            "address_2": "BUILDING 1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102842",
            "telephone_number": "615-256-7543",
            "fax_number": "615-256-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MURFREESBORO PIKE",
            "address_2": "BUILDING 1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102842",
            "telephone_number": "615-256-7543",
            "fax_number": "615-256-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "SABIN",
        "authorized_official_middle_name": "KANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-256-7543",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7907",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9072",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "7907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7907",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Health Center - Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.